• D Rosenthal, R Rosenthal, and A de Simone.
• Department of Neurosurgery, University Hospital, Frankfurt am Main/Germany.
• Spine. 1994 May 1; 19 (9): 1087-91.

Study DesignThe first clinical implementation of a microsurgical endoscopic technique for removal of thoracic disc herniation is described.ObjectiveTo decompress the spinal cord with a ventral approach, combining microsurgical and endoscopic techniques, while reducing the "approach-related trauma."MethodsA detailed description of the preoperative preparation as well as the surgical technique is given. Advantages and disadvantages of the microsurgical endoscopic technique are discussed and compared with other surgical procedures described in the literature.ResultsA herniated disc at T6-T7 was removed and the spinal cord was decompressed. The patient recovered completely and was discharged at the seventh postoperative day. He returned to work 4 weeks later.ConclusionsThe microsurgical endoscopic technique allows spinal cord decompression with a substantial reduction in surgical trauma. It may shorten bed confinement and allow early return to active life. Application of this technique in other areas is being studied.

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